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寻找答案:新冠疫情期间的癌症护理

Searching for answers: Cancer care during the COVID pandemic.

作者信息

Rajan Shiv, Chakrabarti Deep, Akhtar Naseem, Kumar Vijay, Verma Mranalini

机构信息

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Department of Radiation Oncology, King George's Medical University, Lucknow, India.

出版信息

Clin Epidemiol Glob Health. 2021 Apr-Jun;10:100696. doi: 10.1016/j.cegh.2020.100696. Epub 2021 Jan 13.

Abstract

The unprecedented novel coronavirus disease pandemic has wreaked havoc on healthcare systems worldwide and raised myriads of questions. The delivery of cancer care is an essential service that cannot take a backseat, even amid a global pandemic. Oncology involves the disciplines of surgical oncology, radiotherapy, chemotherapy, and palliative care which are all affected, including the possible impact of the pandemic on the mental health of patients and healthcare workers alike. This commentary attempted to review these questions in light of the best available evidence. The delivery of cancer care is generally safe when routine safety precautions are followed, and decisions are based on rational scheduling and logistical prioritisation. The impact on the mental health is profound that needs to be addressed with adequate avenues. Teleoncology is a reasonable alternative, whenever applicable. Evidence-based decision making should be the standard of care, and multidisciplinary management decisions are as indispensable as ever.

摘要

前所未有的新型冠状病毒病大流行给全球医疗系统造成了严重破坏,并引发了无数问题。即使在全球大流行期间,癌症护理服务也是一项至关重要的服务,不能被搁置。肿瘤学涉及外科肿瘤学、放射治疗、化疗和姑息治疗等学科,所有这些学科都受到了影响,包括大流行对患者和医护人员心理健康的可能影响。本评论试图根据现有最佳证据对这些问题进行综述。当遵循常规安全预防措施并基于合理的日程安排和后勤优先级做出决策时,癌症护理服务通常是安全的。对心理健康的影响非常深远,需要通过适当途径加以解决。只要适用,远程肿瘤学是一种合理的替代方案。基于证据的决策应成为护理标准,多学科管理决策一如既往地不可或缺。

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